ALAA SAKALLAH
NPI 1104662691
Psychologist - Clinical in Coon Rapids, MN

Active since July 03, 2024PECOS Enrolled
3833 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433(763) 427-8320 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2024, Jul 3, 2024 (2 updates tracked since 2024).

About Alaa Sakallah NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALAA SAKALLAH (NPI 1104662691) is an individual clinical provider in Coon Rapids, Minnesota, licensed in Minnesota (LP7069) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Golden Valley.

NPPES Registry Identity

NPI1104662691
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameALAA SAKALLAH
Location Address3833 COON RAPIDS BLVD NWCoon Rapids, MN 55433-2643
Mailing Address3833 Coon Rapids Blvd Nw Ste 100Coon Rapids, MN 55433-2697 · (763) 427-8320 · Fax (763) 302-4338
Sole ProprietorYes
Enumeration DateJuly 3, 2024
Last NPPES UpdateSeptember 5, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
NPI 1104662691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MN · LP7069
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License LP7069 (MN)
3833 COON RAPIDS BLVD NW, Coon Rapids, MN 55433

Secondary Practice Location 1

Location 14225 Golden Valley RdGolden Valley, MN 55422-4215 · Phone (763) 588-0661

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Alaa Sakallah is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55433 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
3833 COON RAPIDS BLVD NW, SUITE 120
MINNEAPOLIS, MN 55433
Psychiatry & Neurology (Neurology)
3833 COON RAPIDS BLVD NW, SUITE 100
COON RAPIDS, MN 55433
Physician Assistant
3833 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
Durable Medical Equipment & Medical Supplies
3833 COON RAPIDS BLVD NW, SUITE 120
COON RAPIDS, MN 55433
Psychiatry & Neurology (Neurology)
3833 COON RAPIDS BLVD NW, SUITE 100
COON RAPIDS, MN 55433
Counselor (Mental Health)
3833 COON RAPIDS BLVD NW, SUITE 120
COON RAPIDS, MN 55433
Counselor (Professional)
3833 COON RAPIDS BLVD NW, SUITE 120
COON RAPIDS, MN 55433
Psychiatry & Neurology (Neurology)
3833 COON RAPIDS BLVD NW, SUITE 100
COON RAPIDS, MN 55433

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alaa Sakallah's NPI number?

The NPI number for Alaa Sakallah is 1104662691. It was assigned to this individual provider in the NPPES registry on July 3, 2024.

Where is Alaa Sakallah located?

Alaa Sakallah practices at 3833 Coon Rapids Blvd NW, Coon Rapids, MN 55433. The listed phone number is (763) 427-8320.

What is Alaa Sakallah's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Alaa Sakallah enrolled in Medicare?

Yes. Alaa Sakallah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alaa Sakallah was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.